问题
单项选择题
男，28岁。从1米高处坠落，伤后不省人事约20分钟。清醒后述头痛、恶心、呕吐。3小时后再次昏迷。首先考虑的诊断是（）
A.脑挫裂伤
B.硬脑膜外血肿
C.脑震荡
D.硬脑膜下血肿
E.脑内血肿
答案
参考答案：B
解析：患者存在中间清醒期，提示硬脑膜外血肿。
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男，28岁。从1米高处坠落，伤后不省人事约20分钟。清醒后述头痛、恶心、呕吐。3小时后再次昏迷。首先考虑的诊断是（）
A.脑挫裂伤
B.硬脑膜外血肿
C.脑震荡
D.硬脑膜下血肿
E.脑内血肿
参考答案：B
解析：患者存在中间清醒期，提示硬脑膜外血肿。
I used to believe in the American Dream, which meant a job, a mortgage(按揭)，credit cards, success. I wanted it and worked toward it like everyone else, all of us ____ chasing the same thing. One year, through a series of unhappy events, it all fell ____. I found myself homeless and alone. I had my truck and $56. I ____ the countryside for some place I could rent for the ___ possible amount. I came upon a shabby house four miles up a winding mountain road ____ the Potomac River in West Virginia. It was ____， full of broken glass and rubbish. I found the owner, rented it, and ____ a corner to camp in. The locals knew nothing about me, ____ slowly, they started teaching me the ____ of being a neighbor. They dropped off blankets, candles, and tools, and began ____ around to chat. They started to teach me a belief in a ____ American Dream—not the one of individual achievement but of ____. What I had believed in, all those things I thought were ____ for a civilized life, were nonexistent in this place. ____ on the mountain, my most valuable possessions were my ____ with my neighbors. Four years later, I moved back into ____. I saw many people were having a really hard time, ____ their jobs and homes. I managed to rent a big enough house to ___ a handful of people. There are four of us now in the house，but over time I've had nine people come in and move on to other places. We'd all be in ____ if we hadn't banded together. The American Dream I believe in now is a shared one. It's not so much about what I can get for myself; it's about ____ we can all get by together.
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